Individual provider Active NPI

Matt Reza Khoshnevis, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Houston, TX
National Provider Identifier
1215032305
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
L2373 Issued in TX
Practice address
6565 Fannin
Fondren 270
Houston, TX 77030
Phone
(713) 441-3020
Fax
(713) 793-7064
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X L2373 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X L2373 TX Primary

Addresses

Primary practice location

6565 Fannin
Fondren 270
Houston, TX 77030

Mailing address

6565 Fannin
Fondren 270
Houston, TX 77030
Phone (713) 441-3020

Other practice location 1

3851 Katella Ave
Ste 315
Los Alamitos, CA 90720-3377
Phone (281) 837-6300

Other identifiers 1

IdentifierTypeStateIssuer
165783505MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040610000478 TX Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 9234112368 Reassigns benefits to 4 organizations
I20160328001246 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 9234112368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

6560 Fannin St
Suite 1130
Houston, TX 77030-2790
Phone (713) 363-8055

6565 Fannin St
Houston, TX 77030-2703

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
84904CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince May 15, 2017 Accepting new patients
TMH Physician Associates PLLC Critical Care Medicine CurrentSince May 15, 2017 Accepting new patients
Cogent Healthcare of Texas, PA CurrentSince Jul 1, 2021 Accepting new patients
Southeast Texas Intensivists, PLLC Critical Care Medicine CurrentSince Dec 22, 2023 Accepting new patients
UC Regents Current Accepting new patients
UC Regents Pulmonary Disease CurrentSince Oct 1, 2016 Accepting new patients
TMH Physician Organization Critical Care Medicine Past Accepting new patients

Locations

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

2610 N Alexander Dr
Ste 201
Baytown, TX 77520
Phone (281) 427-6363

2830 Calder St
Fl 4
Beaumont, TX 77702
Phone (409) 899-5156

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

6560 Fannin St
Ste 1130
Houston, TX 77030
Phone (713) 363-8055

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

6565 Fannin St
#270
Houston, TX 77030
Phone (713) 441-0006

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: mkhoshnevis45732@directhoustonmethodist.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215032305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FANNIN",
            "address_2": "FONDREN 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-441-3020",
            "fax_number": "713-793-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FANNIN",
            "address_2": "FONDREN 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-441-3020",
            "fax_number": "713-793-7064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 KATELLA AVE",
            "address_2": "STE 315",
            "address_purpose": "LOCATION",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203377",
            "country_code": "US",
            "telephone_number": "281-837-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOSHNEVIS",
        "first_name": "MATT",
        "middle_name": "REZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "L2373",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "L2373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165783505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.